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目的:观察早期气管插管对预防卒中相关性肺炎的价值。方法:将179例脑卒中患者分为早期插管组(76例)和常规插管组(103例),比较两组并发肺炎、呼吸和生理监测指标、治疗效果及神经功能评分等方面的变化情况。结果:早期插管组并发肺炎明显少于常规插管组,插管前后呼吸和生理监测指标较常规插管组明显改善,治疗效果及神经功能评分明显好于常规插管组。结论:早期气管插管可显著减少卒中相关性肺炎的发生,改善通气不足导致的低氧血症,有利于改善中枢神经功能及预后。
Objective: To observe the value of early tracheal intubation in preventing stroke-associated pneumonia. Methods: A total of 179 stroke patients were divided into early intubation group (n = 76) and conventional intubation group (n = 103). The changes of pneumonia, respiratory and physiological monitoring indexes, therapeutic effect and neurological function score were compared between the two groups Happening. Results: Early intubation group with pneumonia was significantly less than conventional intubation group, before and after intubation respiration and physiological monitoring indicators than conventional intubation group was significantly improved, the treatment effect and neurological score was significantly better than the conventional intubation group. Conclusion: Early tracheal intubation can significantly reduce the incidence of stroke-associated pneumonia, improve hypoxemia caused by hypoventilation, is conducive to improving central nervous system function and prognosis.